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The first cut is the deepest (and perhaps the most opportune)!
Catheterization & Cardiovascular Interventions ( IF 2.3 ) Pub Date : 2021-09-08 , DOI: 10.1002/ccd.29880
Robert F Riley 1 , Timothy D Henry 1
Affiliation  

  • The rate of redo-coronary artery bypass graft (CABG) nearly doubled from 5.33% in 2004 to 10.3% in 2015 and was associated with significantly higher in-hospital major adverse cardiovascular and cerebrovascular events (MACCE; OR 5.36) and mortality (OR 2.84) compared to PCI in patients with prior CABG.
  • Use of arterial conduits and aggressive secondary prevention post-CABG is key to minimizing need for repeat revascularization procedures.
  • Post-CABG patients requiring repeat revascularization procedures may benefit from a HEART team discussion given their elevated procedural risk profile.


中文翻译:

第一次切割是最深的(也许也是最合适的)!

  • 重做冠状动脉旁路移植术 (CABG) 的发生率几乎翻了一番,从 2004 年的 5.33% 增加到 2015 年的 10.3%,并且与院内主要不良心脑血管事件 (MACCE; OR 5.36) 和死亡率 (OR 2.84) 显着升高相关) 与先前 CABG 患者的 PCI 相比。
  • 使用动脉导管和 CABG 后积极的二级预防是减少重复血运重建手术需求的关键。
  • 需要重复血运重建手术的 CABG 后患者可能会受益于 HEART 团队的讨论,因为他们的手术风险较高。
更新日期:2021-09-09
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